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  1. Article: Editorial: Objective and measurable predictors of violence risk and outcome among forensic patients with psychosis.

    Sen, Piyal / Kumari, Veena

    Frontiers in psychiatry

    2024  Volume 15, Page(s) 1359586

    Language English
    Publishing date 2024-01-19
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2024.1359586
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The mental health needs of asylum seekers and refugees - challenges and solutions.

    Sen, Piyal

    BJPsych international

    2016  Volume 13, Issue 2, Page(s) 30–32

    Abstract: Global events like wars and natural disasters have led to the refugee population reaching numbers not seen since the Second World War. Attitudes to asylum have hardened, with the potential to compromise the mental health needs of asylum seekers and ... ...

    Abstract Global events like wars and natural disasters have led to the refugee population reaching numbers not seen since the Second World War. Attitudes to asylum have hardened, with the potential to compromise the mental health needs of asylum seekers and refugees. The challenges in providing mental healthcare for asylum seekers and refugees include working with the uncertainties of immigration status and cultural differences. Ways to meet the challenges include cultural competency training, availability of interpreters and cultural brokers as well as appropriately adapting modes of therapy. Service delivery should support adjustment to life in a foreign country. Never has the need been greater for psychiatrists to play a leadership role in the area.
    Language English
    Publishing date 2016-05-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/s2056474000001069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Supporting people with immigration issues in the context of the Mental Health Act 1983 and Mental Capacity Act 2005.

    Dikoff, Brian / Hassan, Rukyya / Shankar, Rohit / Katona, Cornelius / Chaplin, Lucia / Forrester, Andrew / Sen, Piyal

    Medicine, science, and the law

    2023  Volume 63, Issue 3, Page(s) 183–186

    MeSH term(s) Humans ; Mental Health ; Emigration and Immigration ; Mental Competency
    Language English
    Publishing date 2023-05-09
    Publishing country England
    Document type Editorial
    ZDB-ID 301137-9
    ISSN 2042-1818 ; 0025-8024
    ISSN (online) 2042-1818
    ISSN 0025-8024
    DOI 10.1177/00258024231171316
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    Zs.A 206: Show issues Location:
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  4. Article ; Online: How do lipids influence risk of violence, self-harm and suicidality in people with psychosis? A systematic review.

    Sen, Piyal / Adewusi, Danielle / Blakemore, Alexandra I / Kumari, Veena

    The Australian and New Zealand journal of psychiatry

    2021  Volume 56, Issue 5, Page(s) 451–488

    Abstract: Objectives: Low cholesterol has been linked with violent and suicidal behaviour in people with schizophrenia. This association, if consistently present, may be a promising biological marker that could assist clinicians in decision making regarding risk ... ...

    Abstract Objectives: Low cholesterol has been linked with violent and suicidal behaviour in people with schizophrenia. This association, if consistently present, may be a promising biological marker that could assist clinicians in decision making regarding risk and treatment. We conducted a systematic review to assess whether there is a reliable association between lipid profile (total cholesterol, high- and low-density lipoprotein cholesterol, and triglycerides) and aggression, self-harm or suicide in people with schizophrenia, and whether effects are similar in males and females.
    Method: Relevant databases were searched to identify primary research studies (up to November 2020) that (1) involved adults (some samples also included 16- to 18-year olds) with a confirmed diagnosis of schizophrenia, schizoaffective disorder or psychosis; and (2) included a standardised assessment of verbal aggression, physical aggression against objects, physical aggression against self (including suicide) or others. The search yielded 23 studies eligible for inclusion following a quality appraisal.
    Results: Suicidality was the most commonly assessed subtype of aggression (20 studies). For suicidality, about half the studies, including the study with the largest sample size, found a link with total cholesterol. An association between low total cholesterol and violence towards others was found in six of nine studies that investigated this. The evidence for a link with violence was the strongest for total cholesterol, followed by low-density lipoprotein cholesterol and high-density lipoprotein cholesterol, and the weakest for triglycerides. Only a few studies investigated sex differences and yielded mixed evidence. Studies focussed on self-harm as well as involving females in forensic settings were lacking.
    Conclusion: There is encouraging evidence of an association between low total cholesterol and aggression towards others as well as suicidality in schizophrenia. Future studies should systematically explore this association in people with schizophrenia who have a significant history of violence, suicidality and self-harm, both inpatients and community, and also investigate underlying mechanisms.
    MeSH term(s) Adult ; Aggression/psychology ; Cholesterol ; Female ; Humans ; Lipoproteins, LDL ; Male ; Psychotic Disorders/psychology ; Self-Injurious Behavior ; Suicidal Ideation ; Suicide ; Triglycerides ; Violence
    Chemical Substances Lipoproteins, LDL ; Triglycerides ; Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2021-07-09
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 221140-3
    ISSN 1440-1614 ; 0004-8674
    ISSN (online) 1440-1614
    ISSN 0004-8674
    DOI 10.1177/00048674211025608
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    Zs.A 856: Show issues Location:
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  5. Article ; Online: Exploring the prevalence of personality disorder and the feasibility of using the SAPAS as a screening tool for personality disorder in an emergency department in India.

    Sen, Piyal / Barnicot, Kirsten / Podder, Priyanka / Dasgupta, Indraneel / Gormley, Mariko

    Medicine, science, and the law

    2021  Volume 62, Issue 1, Page(s) 8–16

    Abstract: Background: Personality disorders (PD) lead to frequent emergency department (ED) visits. Existing studies have evaluated high-risk ED populations in Western settings. PD screening tools, such as the Standardized Assessment of Personality - Abbreviated ... ...

    Abstract Background: Personality disorders (PD) lead to frequent emergency department (ED) visits. Existing studies have evaluated high-risk ED populations in Western settings. PD screening tools, such as the Standardized Assessment of Personality - Abbreviated Scale (SAPAS), have thus far only been validated in Western populations.
    Aims: This study aimed to establish the screened prevalence of PD, and to evaluate the performance of the SAPAS as a screening tool within an ED setting in India.
    Methods: The study took place in the ED of a private multi-speciality hospital in Kolkata, India. All attendees were approached during two days per week over three months, except those who were medically unfit to participate. The SAPAS and the International Personality Disorder Examination (IPDE) were translated into Bengali and then used as screening tools for PD and as the reference standard for PD diagnosis.
    Results: Out of 120 ED attendees approached, 97 participated (48 men and 49 women), of whom 24% met the criteria for a diagnosis of PD. A cut-off score of 4 on the SAPAS provided the best trade-off between sensitivity and specificity for detecting PD.
    Conclusion: The prevalence of PD was similar to Western samples, and the SAPAS showed promise for use in a non-Western setting.
    MeSH term(s) Emergency Service, Hospital ; Feasibility Studies ; Female ; Humans ; Male ; Personality Disorders/diagnosis ; Personality Disorders/epidemiology ; Prevalence ; Sensitivity and Specificity
    Language English
    Publishing date 2021-05-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 301137-9
    ISSN 2042-1818 ; 0025-8024
    ISSN (online) 2042-1818
    ISSN 0025-8024
    DOI 10.1177/00258024211011387
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    Zs.A 206: Show issues Location:
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  6. Article ; Online: It is time to expand community alternatives to immigration detention.

    Waterman, Lauren Z / Pillay, Mishka / Sen, Piyal / Crowley, Grace / Forrester, Andrew / Katona, Cornelius

    BMJ (Clinical research ed.)

    2022  Volume 376, Page(s) o458

    MeSH term(s) Emigration and Immigration ; Humans
    Language English
    Publishing date 2022-02-24
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o458
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    Ua VI Zs.10: Show issues Location:
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  7. Article ; Online: Mental health in the criminal justice system: austerity must now be reversed.

    Sen, Piyal / Forrester, Andrew / Georgiou, Megan / Haque, Quazi / Ismail, Nasrul / Neville, Patrick

    BMJ (Clinical research ed.)

    2022  Volume 376, Page(s) o727

    MeSH term(s) Criminal Law ; Humans ; Mental Disorders ; Mental Health ; Mental Health Services
    Language English
    Publishing date 2022-03-21
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o727
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  8. Article ; Online: Clinicians caring for migrants need more support.

    Sen, Piyal / Waterman, Lauren Z / Crowley, Grace / Pillay, Mishka / Katona, Cornelius

    BMJ (Clinical research ed.)

    2022  Volume 377, Page(s) e071007

    MeSH term(s) Health Services Accessibility/standards ; Humans ; Patient Care/standards ; Transients and Migrants
    Language English
    Publishing date 2022-05-23
    Publishing country England
    Document type Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2022-071007
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  9. Article ; Online: A Systematic Review and Meta-Analysis of Personality Disorder Prevalence and Patient Outcomes in Emergency Departments.

    Collins, Alexander / Barnicot, Kirsten / Sen, Piyal

    Journal of personality disorders

    2018  Volume 34, Issue 3, Page(s) 324–347

    Abstract: The objectives of this study were to perform a systematic review and meta-analysis of studies reporting prevalence of personality disorders (PDs) in emergency departments (EDs) and evaluate the effect of comorbid PDs on clinical outcomes. A systematic ... ...

    Abstract The objectives of this study were to perform a systematic review and meta-analysis of studies reporting prevalence of personality disorders (PDs) in emergency departments (EDs) and evaluate the effect of comorbid PDs on clinical outcomes. A systematic search of five databases along with manual searching and expert consultation was performed. A quality appraisal was conducted. A total of 29 articles were included. Prevalence of PDs in ED attendees varied depending on presenting complaint, Q(4) = 577.5,
    MeSH term(s) Adult ; Emergency Service, Hospital/statistics & numerical data ; Feeding and Eating Disorders/diagnosis ; Hospitalization/statistics & numerical data ; Humans ; Obsessive-Compulsive Disorder/epidemiology ; Personality Disorders/diagnosis ; Personality Disorders/epidemiology ; Prevalence ; Risk Factors ; Self-Injurious Behavior/diagnosis ; Self-Injurious Behavior/epidemiology ; Severity of Illness Index ; Sex Factors ; Suicide, Attempted/statistics & numerical data
    Language English
    Publishing date 2018-10-11
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 639252-0
    ISSN 1943-2763 ; 0885-579X
    ISSN (online) 1943-2763
    ISSN 0885-579X
    DOI 10.1521/pedi_2018_32_400
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  10. Article ; Online: The UK's exportation of asylum obligations to Rwanda: A challenge to mental health, ethics and the law.

    Sen, Piyal / Crowley, Grace / Arnell, Paul / Katona, Cornelius / Pillay, Mishka / Waterman, Lauren Z / Forrester, Andrew

    Medicine, science, and the law

    2022  Volume 62, Issue 3, Page(s) 165–167

    MeSH term(s) Human Rights ; Humans ; Mental Health ; Refugees ; Rwanda ; United Kingdom
    Language English
    Publishing date 2022-06-13
    Publishing country England
    Document type Editorial
    ZDB-ID 301137-9
    ISSN 2042-1818 ; 0025-8024
    ISSN (online) 2042-1818
    ISSN 0025-8024
    DOI 10.1177/00258024221104163
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